Metabolic syndrome and its relationship with shift work in petrochemical workers.

BACKGROUND: The metabolic syndrome is a complex of interdependent risk factors for cardiovascular disease and diabetes. Shift work might have an impact on metabolic variables, and be a risk factor for type 2 diabetes. To date, only few studies have been done on the prevalence of MetS in industrial work environments in Iran, and most of them have been conducted on a small sample size. OBJECTIVE: The aim of this study was to evaluate the impact of shift work on prevalence of metabolic syndrome in one of the petrochemical companies in Iran. METHODS: This cross-sectional study was conducted among 692 male workers of a petrochemical company in south-west Iran. Metabolic syndrome was diagnosed according to criteria recommended by Adult Treatment Panel III. In order to determine correlation between MetS and its factors with shift work odds ratio (ORs) for the MetS, 95% confidence level (95% CL), chi-square test and logistic regression analysis were performed. RESULTS: Overall 15.1% of workers were diagnosed with metabolic syndrome and 80% of them were shift workers. A significant difference for prevalence of metabolic syndrome and mean values for body mass index, blood pressure, fast blood sugar, waist circumference among shift workers and non-shift workers were identified (p < 0.001). Compared with the day workers, shift workers had a significantly higher risk of MetS (odds ratio = 4.852; 95% CI 2.34-9.974). CONCLUSIONS: There is an association between metabolic syndrome and shift work in petrochemical workers. Promising intervention strategies are needed for prevention of metabolic disorders for shift workers.

The effects of dyslipidemia on noise-induced hearing loss in petrochemical workers in the Southwest of Iran.

BACKGROUND: Research has shown that the decrease in the inner diameter of vessels caused by hyperlipidemia lowers the capacity for blood oxygen delivery to the cochlea. This leads to impaired cochlear metabolism and causes hearing problems. OBJECTIVE: The effects of dyslipidemia on noise-induced hearing loss in workers were examined. METHODS: This descriptive cross-sectional study was performed on 692 male employees in a petrochemical industry in the southwest of Iran exposed to 85 dB noise. Clinical audiometry and blood sample tests were used to evaluate the hearing and prevalence indices of dyslipidemia (cholesterol, triglyceride, HDL and LDL). The data were analyzed using SPSS software version 25 (p = 0.05). RESULTS: The results showed that the prevalence of dyslipidemia was 24.5% with abnormal relative triglyceride frequency of 49.5%, HDL of 28%, LDL of 33%, and total blood cholesterol level of 37.8%. There was no significant relationship between NIHL and dyslipidemia (p > 0.09). However, the major NIHL drops at different frequencies were in the individuals with dyslipidemia. The parameters age and dyslipidemia increased NIHL odds ratio (95% C.I.) by 1.130 (1.160-1.100) and 1.618 (2.418-1.082) respectively. CONCLUSION: The rate of hearing loss in individuals with dyslipidemia increases at different frequencies and it leads to an increase of the OR of NIHL in individuals with dyslipidemia. We can control dyslipidemia and its effective factors. The NIHL is more common in people exposed to noise.

Job stress and resilience in Iranian nurses during the COVID-19 pandemic: A case-control study.

BACKGROUND: The COVID-19 pandemic has created a wide range of sociocultural pressures on nurses. Resilience is defined as one's ability to adapt to an unpredictable situation and it can be a factor in accepting an undesirable psychosocial situation. OBJECTIVE: The aim of the present study was to examine resilience in nurses in the face of job stress during the COVID-19 pandemic. METHODS: The study was carried out as a case-control study with participation of 400 nurses as the target group (nurses exposed to COVID-19 patients) and the control group (nurses not exposed to COVID-19 patients). To examine resilience and job stress, Conor and Davidson's questionnaire and OSIPOW questionnaire were used respectively. RESULTS: The mean scores of job stress and resilience were significantly different between the target and control groups (p < 0.05). So that resilience in the target group was less than that in the control group. In addition, job stress in the target group was higher than that of the control group (p < 0.05). There was a significant and negative correlation between resilience and job stress and the correlation was stronger in the target group (p < 0.05). CONCLUSIONS: Given the high job stress score in the participants and its negative correlation with resilience, there is need to provide the health personnel with efficient preventive and treatment approaches, improve and educate the principles of resilience, improve mental health services system, and introduce programs to control some of demographical factors in job stress such as physical activity, and employment status of nurses.

Evaluation of airborne exposure to volatile organic compounds of benzene, toluene, xylene, and ethylbenzene and its relationship to biological contact index in the workers of a petrochemical plant in the west of Iran.

Nowadays, workers in petrochemical industry might be exposed to organic volatile compounds, including benzene, toluene, ethylbenzene, and xylene (BTEX). The aim of this study was to investigate the concentration of BTEX contaminations and the biological index in employees of petrochemical sites in the west of Iran. The study was conducted as a cross-sectional study on 30 stations and 60 inhalation and biological samples collected in winter and summer. The NIOSH 2549 and 1501 methods were used for sampling and analyzing the inhaled samples. Gas chromatography-mass spectrometry (GC-MS) equipped with flame ionization detector and high-performance liquid chromatography (HPLC) was used to measure the volatile contaminations. The results showed that the mean concentrations of benzene, toluene, and xylene were significantly different in summer and winter. Significant and strong correlations were observed between the concentrations of benzene, toluene, and xylene and the biological values (r > 0.7). Moreover, the concentration of benzene (ß = 0.836), toluene (ß = 0.718), and xylene (ß = 0.786) predicted the changes in their biological values. Given the hazardous concentrations of benzene and toluene in industrial plants and the correlation of the concentration levels and biological values, management and control strategies should be implemented to eliminate and reduce the pollutants and the effects.